Organization
PAUL N CARDON DDS LLC
Active
Other names
Stadium Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL NOLAN CARDON DDS (OWNER)
(573) 636-5522
Entity
Organization
Contact information
Practice address
757 W STADIUM BLVD STE B, JEFFERSON CITY, MO 65109-4786
(573) 636-5522
(573) 636-3328
Mailing address
757 W STADIUM BLVD STE B, JEFFERSON CITY, MO 65109-4786
(573) 636-5522
(573) 636-3328
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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